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He touches on a wide array of important topics such as the role of data, statistics, and empirics in decision-making that extend well beyond cognitive biases. Groopman here references Daniel Kahneman and Amos Tversky. One woman adopted a child from Israel who immediately became very sick and was diagnosed as having an immunity deficiency disease. Do a doctor’s emotions—his like or dislike of a particular patient, his attitudes about the social and psychological makeup of his patient’s life—color his thinking? Emotional involvement is a constant paradox for physicians. In the end, I am not sure I am that much wiser, but I appreciated that one doctor the aut I really should not have read this book! How does a doctor’s thinking differ during routine visits versus times of clinical crisis?

He is so thoughtful and humble and insightful! What assumptions do doctors make about patients that lead to misdiagnoses? Whether or not they appear to be relevant, he goes through everything major. Specific chapters deal with errors in primary care, where you are looking for the one sick patient in the sea of healthy ones every day, to errors in very specific subspecialities such as pediatric cardiology, where we must not forget we are making some of this up as we go along, as each patient is unique and re This is an excellent read, both for physicians and those in medicine, and for patients. Groopman keeps things real by even referencing his own mistakes. He then continues by suggesting two more questions:

Using many examples of this merome, including some from his own life, Dr Groopman This book was primarily about habits of thinking that can lead a doctor to misdiagnose a case or miss clues that make a difference in treatment. Then opinionns authors suggests ways doctors and patients can avoid similar problems in the future.

The angle of vision he provides comes from conflicting diagnoses and human error, the bureaucracies of clinical trials and managed care, chance, faith, an unyielding attention to detail, and invariably, hope.

Pages —Page Pages 11 — You need to work with them and force them to communicate their thinking. Thank you for using the catalog. Thus, while the book is a well-written account of 8 unique patients and their determined doctor, it represents one small segment of a much larger health care conversation. Inevitably, literary doctors write of a personal encounter with aging: Doctors are often lead astray by confirmation bias, i.


Recognizing these fallibilities–understanding how a goopman is trained to think– enables patients to be more proactive, to ask better questions, and thus help themselves by helping the doctor find the correct diagnosis or best treatment.

Studies have shown that patients will be interrupted by their doctors within the first 18 to 24 seconds into their visit.

Jerome Groopman’s “How Doctors Think”: Book Review, Notes + Analysis

I applied these when I had to take a friend of mine to a doctor for an unknown groipman ailment; it turned out to be nothing but they were useful in getting the doctor to consider and evaluate a few other possibilities. TCM views the body in a totally different way. Hardcoverpages.

One example — a woman who was underweight, suffering from loss of bone and kidney issues, who went from one doctor to another and had a case file which labeled her as suffering from anorexia and bulimia. This is such a sdcond statement when it comes to medical practice and building relationships with patients. Groopman, an oncologist, looks at the way doctors perceive data and make judgments about patient care. On eecond, a physician will interrupt a patient describing her symptoms within eighteen seconds.

The beauty of this book is that Groopman clearly listens. Oct 06, Ali rated it it was amazing.

There was an error while adding the following items. Everyone makes mistakes every day.

How Doctors Think by Jerome Groopman, M.D.

Could it be more than one problem? Doctors, like all of us, are subject to many of the ‘fast thinking’ pattern recognition System 1 hroopman, to use Kahneman’s phrase as all of us. He guides opinionss reader to this conclusion by recounting his interviews with many different specialists and even a pharmaceutical company executive.

Can Jerome Groopman be my doctor? The book is loosely laid out in the same manner that a physician works through a problem with groopmah patient — the history, the physical exam, the lab tests, the differential diagnosis which is also spread throughout the booktreatment and other factors that may influence a merome with respect to a patient. All that being said, I am glad I read this book since the author, to some extent, gives you strategies on how to manage or select doctors to improve care.

To provide a quality care require a lot of than just making decision? Pages 55 — Emotional involvement is a constant paradox for physicians. Perhaps there’s something I forgot to mention.


Groopman has a good ear and a dramatic flair, and he delivers entertaining, often scandalous portraits of doctors at work. When looking for a thinking doctor, look for 1 Communication 2 Critical reasoning: Numerous other factors that may influence medical decisions were not included in this synopsis for the sake of narrowing down the scope of the reviewlike the allure of pharmaceutical wynopsis, extensive advertising in medical journals, promotion of products through healthcare practitioners, flashy advertisements geared to consumers and the role of money in the medical field.

An additional problem in this case is that the tests used to make diagnosis still need improvement, as current testing methods are not able to quickly and accurately detect cardiac problems. The patient’s history, results of the physical exam and results of any diagnostic tests will be used to jwrome a diagnosis, but it is not uncommon for doctors to start deciding on a likely diagnosis within the first minutes of meeting a patient.

The thought processes of physicians is an insight few of us have had to encounter.

How doctors think

Last year when I read the book, I ooinions it almost as a patient more than a physician. First, they may help you decide which books you should put on your shelf, based on a quick review of some of the ideas discussed. This book was strongly recommended to me by several colleagues who I deeply respect.

The case studies he presents show, for the most part, good physicians trying their best, but occasionally blinded by their own small mistakes. This sounds reasonable on its surface but the synopwis at the crux of the matter goes unasked; namely, does open-ended questioning lead to different outcomes versus patient templates at the population level?

His initial presentation was terse. They would check in on a group of patients and congregate afterwards to go over each case. Groopman emphasizes prime mistakes seen in medical practices of doctors in different specialties. The fact is there will always be individuals who just happen to be sicker than others and generally, most doctors are not overly enthusiastic about working on complicated cases.